Individual
VICTORIA DIBIASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 2373, SOUTH BEND, IN 46680-2373
(574) 318-0578
Mailing address
PO BOX 2373, SOUTH BEND, IN 46680-2373
(574) 318-0578
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
119007
TX
1041C0700X
Clinical Social Worker
34010381A
IN
Other
Enumeration date
10/01/2020
Last updated
05/08/2026
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